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Complications with computer-aided designed/computer-assisted manufactured titanium and soldered gold bars for mandibular implant-overdentures: short-term observations.

Identifieur interne : 000068 ( PubMed/Curation ); précédent : 000067; suivant : 000069

Complications with computer-aided designed/computer-assisted manufactured titanium and soldered gold bars for mandibular implant-overdentures: short-term observations.

Auteurs : Joannis Katsoulis [Suisse] ; Julia W Lchli ; Simone Kobel ; Hadi Gholami ; Regina Mericske-Stern

Source :

RBID : pubmed:23915228

Descripteurs français

English descriptors

Abstract

Implant-overdentures supported by rigid bars provide stability in the edentulous atrophic mandible. However, fractures of solder joints and matrices, and loosening of screws and matrices were observed with soldered gold bars (G-bars). Computer-aided designed/computer-assisted manufactured (CAD/CAM) titanium bars (Ti-bars) may reduce technical complications due to enhanced material quality.

DOI: 10.1111/cid.12130
PubMed: 23915228

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pubmed:23915228

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<title xml:lang="en">Complications with computer-aided designed/computer-assisted manufactured titanium and soldered gold bars for mandibular implant-overdentures: short-term observations.</title>
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<name sortKey="Katsoulis, Joannis" sort="Katsoulis, Joannis" uniqKey="Katsoulis J" first="Joannis" last="Katsoulis">Joannis Katsoulis</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern</wicri:regionArea>
</affiliation>
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<name sortKey="W Lchli, Julia" sort="W Lchli, Julia" uniqKey="W Lchli J" first="Julia" last="W Lchli">Julia W Lchli</name>
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<name sortKey="Kobel, Simone" sort="Kobel, Simone" uniqKey="Kobel S" first="Simone" last="Kobel">Simone Kobel</name>
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<author>
<name sortKey="Gholami, Hadi" sort="Gholami, Hadi" uniqKey="Gholami H" first="Hadi" last="Gholami">Hadi Gholami</name>
</author>
<author>
<name sortKey="Mericske Stern, Regina" sort="Mericske Stern, Regina" uniqKey="Mericske Stern R" first="Regina" last="Mericske-Stern">Regina Mericske-Stern</name>
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<title xml:lang="en">Complications with computer-aided designed/computer-assisted manufactured titanium and soldered gold bars for mandibular implant-overdentures: short-term observations.</title>
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<name sortKey="Katsoulis, Joannis" sort="Katsoulis, Joannis" uniqKey="Katsoulis J" first="Joannis" last="Katsoulis">Joannis Katsoulis</name>
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<nlm:affiliation>Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern</wicri:regionArea>
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<name sortKey="W Lchli, Julia" sort="W Lchli, Julia" uniqKey="W Lchli J" first="Julia" last="W Lchli">Julia W Lchli</name>
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<name sortKey="Kobel, Simone" sort="Kobel, Simone" uniqKey="Kobel S" first="Simone" last="Kobel">Simone Kobel</name>
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<name sortKey="Gholami, Hadi" sort="Gholami, Hadi" uniqKey="Gholami H" first="Hadi" last="Gholami">Hadi Gholami</name>
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<author>
<name sortKey="Mericske Stern, Regina" sort="Mericske Stern, Regina" uniqKey="Mericske Stern R" first="Regina" last="Mericske-Stern">Regina Mericske-Stern</name>
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<series>
<title level="j">Clinical implant dentistry and related research</title>
<idno type="eISSN">1708-8208</idno>
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<date when="2015" type="published">2015</date>
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<term>Aged</term>
<term>Computer-Aided Design</term>
<term>Dental Implants</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Dental Soldering</term>
<term>Denture Repair</term>
<term>Denture Retention (instrumentation)</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Gold Alloys (chemistry)</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Male</term>
<term>Titanium (chemistry)</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Alliages d'or ()</term>
<term>Conception assistée par ordinateur</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Réparation d'appareil de prothèse dentaire</term>
<term>Résultat thérapeutique</term>
<term>Rétention d'appareil de prothèse dentaire (instrumentation)</term>
<term>Soudage dentaire</term>
<term>Sujet âgé</term>
<term>Titane ()</term>
<term>Échec de restauration dentaire</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="chemistry" xml:lang="en">
<term>Gold Alloys</term>
<term>Titanium</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Denture Retention</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en">
<term>Jaw, Edentulous</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr">
<term>Mâchoire édentée</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Computer-Aided Design</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Dental Soldering</term>
<term>Denture Repair</term>
<term>Denture, Overlay</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Alliages d'or</term>
<term>Conception assistée par ordinateur</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Mâle</term>
<term>Overdenture</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Réparation d'appareil de prothèse dentaire</term>
<term>Résultat thérapeutique</term>
<term>Rétention d'appareil de prothèse dentaire</term>
<term>Soudage dentaire</term>
<term>Sujet âgé</term>
<term>Titane</term>
<term>Échec de restauration dentaire</term>
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<front>
<div type="abstract" xml:lang="en">Implant-overdentures supported by rigid bars provide stability in the edentulous atrophic mandible. However, fractures of solder joints and matrices, and loosening of screws and matrices were observed with soldered gold bars (G-bars). Computer-aided designed/computer-assisted manufactured (CAD/CAM) titanium bars (Ti-bars) may reduce technical complications due to enhanced material quality.</div>
</front>
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<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">23915228</PMID>
<DateCompleted>
<Year>2016</Year>
<Month>12</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>12</Month>
<Day>30</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1708-8208</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>17 Suppl 1</Volume>
<PubDate>
<Year>2015</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>Clinical implant dentistry and related research</Title>
<ISOAbbreviation>Clin Implant Dent Relat Res</ISOAbbreviation>
</Journal>
<ArticleTitle>Complications with computer-aided designed/computer-assisted manufactured titanium and soldered gold bars for mandibular implant-overdentures: short-term observations.</ArticleTitle>
<Pagination>
<MedlinePgn>e75-85</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/cid.12130</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Implant-overdentures supported by rigid bars provide stability in the edentulous atrophic mandible. However, fractures of solder joints and matrices, and loosening of screws and matrices were observed with soldered gold bars (G-bars). Computer-aided designed/computer-assisted manufactured (CAD/CAM) titanium bars (Ti-bars) may reduce technical complications due to enhanced material quality.</AbstractText>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To compare prosthetic-technical maintenance service of mandibular implant-overdentures supported by CAD/CAM Ti-bar and soldered G-bar.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Edentulous patients were consecutively admitted for implant-prosthodontic treatment with a maxillary complete denture and a mandibular implant-overdenture connected to a rigid G-bar or Ti-bar. Maintenance service and problems with the implant-retention device complex and the prosthesis were recorded during minimally 3-4 years. Annual peri-implant crestal bone level changes (ΔBIC) were radiographically assessed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Data of 213 edentulous patients (mean age 68 ± 10 years), who had received a total of 477 tapered implants, were available. Ti-bar and G-bar comprised 101 and 112 patients with 231 and 246 implants, respectively. Ti-bar mostly exhibited distal bar extensions (96%) compared to 34% of G-bar (p < .001). Fracture rate of bars extensions (4.7% vs 14.8%, p < .001) and matrices (1% vs 13%, p < .001) was lower for Ti-bar. Matrices activation was required 2.4× less often in Ti-bar. ΔBIC remained stable for both groups.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Implant overdentures supported by soldered gold bars or milled CAD/CAM Ti-bars are a successful treatment modality but require regular maintenance service. These short-term observations support the hypothesis that CAD/CAM Ti-bars reduce technical complications. Fracture location indicated that the titanium thickness around the screw-access hole should be increased.</AbstractText>
<CopyrightInformation>© 2013 Wiley Periodicals, Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Katsoulis</LastName>
<ForeName>Joannis</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Department of Prosthodontics, School of Dental Medicine, University of Bern, Bern, Switzerland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Wälchli</LastName>
<ForeName>Julia</ForeName>
<Initials>J</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Kobel</LastName>
<ForeName>Simone</ForeName>
<Initials>S</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Gholami</LastName>
<ForeName>Hadi</ForeName>
<Initials>H</Initials>
</Author>
<Author ValidYN="Y">
<LastName>Mericske-Stern</LastName>
<ForeName>Regina</ForeName>
<Initials>R</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<ArticleDate DateType="Electronic">
<Year>2013</Year>
<Month>08</Month>
<Day>05</Day>
</ArticleDate>
</Article>
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<Country>United States</Country>
<MedlineTA>Clin Implant Dent Relat Res</MedlineTA>
<NlmUniqueID>100888977</NlmUniqueID>
<ISSNLinking>1523-0899</ISSNLinking>
</MedlineJournalInfo>
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<Chemical>
<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D015921">Dental Implants</NameOfSubstance>
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<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D006047">Gold Alloys</NameOfSubstance>
</Chemical>
<Chemical>
<RegistryNumber>D1JT611TNE</RegistryNumber>
<NameOfSubstance UI="D014025">Titanium</NameOfSubstance>
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<DescriptorName UI="D015921" MajorTopicYN="N">Dental Implants</DescriptorName>
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<DescriptorName UI="D017267" MajorTopicYN="N">Dental Prosthesis Design</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D019094" MajorTopicYN="Y">Dental Prosthesis, Implant-Supported</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D019232" MajorTopicYN="N">Dental Restoration Failure</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012994" MajorTopicYN="N">Dental Soldering</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003780" MajorTopicYN="N">Denture Repair</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003781" MajorTopicYN="N">Denture Retention</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D003828" MajorTopicYN="Y">Denture, Overlay</DescriptorName>
</MeshHeading>
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<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<DescriptorName UI="D006047" MajorTopicYN="N">Gold Alloys</DescriptorName>
<QualifierName UI="Q000737" MajorTopicYN="N">chemistry</QualifierName>
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<QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName>
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<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D014025" MajorTopicYN="N">Titanium</DescriptorName>
<QualifierName UI="Q000737" MajorTopicYN="N">chemistry</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">CAD/CAM technology</Keyword>
<Keyword MajorTopicYN="N">complications</Keyword>
<Keyword MajorTopicYN="N">gold</Keyword>
<Keyword MajorTopicYN="N">implant-overdenture</Keyword>
<Keyword MajorTopicYN="N">maintenance service</Keyword>
<Keyword MajorTopicYN="N">rigid bar</Keyword>
<Keyword MajorTopicYN="N">titanium</Keyword>
</KeywordList>
</MedlineCitation>
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